Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $630.96	Professional		$331.13	$407.38	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $9,120.11	Facility		$2,570.40	$4,786.30	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $389.05	Professional		$331.13	$346.74	$389.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $758.58	Professional		$354.81	$467.74	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $19,498.45 / $19,498.45	Facility		$9,332.54	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,019.95	Professional		$2,630.27	$3,019.95	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $891.25 / $4,570.88	Facility		$363.08	$891.25	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $616.60	Professional		$331.13	$467.74	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $691.83 / $912.01	Professional		$3.02	$691.83	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $467.74 / $831.76	Facility		$346.74	$467.74	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $758.58	Professional		$354.81	$478.63	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $630.96	Professional		$295.12	$407.38	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $346.74	Professional		$323.59	$346.74	$346.74